Rhinophyma – Case Report of a 67-Year-Old Male with Extensive Nodular Changes of the External Nose in the Course of Rosacea

<b>Introduction:</b> Rhinophyma is a particularly advanced form of rosacea. It typically affects middle-aged and elderly men. It develops due to significant hypertrophy of the sebaceous glands, blood vessels, and connective tissue of the nasal skin. The external nose becomes enlarged, with the skin becoming thickened, fibrous, and oily. When pressure is applied, a mixture of sebum and blood may be expelled. Facial deformity often leads to social withdrawal in affected individuals. In extreme cases, it can lead to nasal passage obstruction.<b>Case report:</b> This paper discusses the case of a 67-year-old male patient with a long history of rosacea. A diagnosis of rhinophyma was established, and surgical treatment was employed, yielding satisfactory results. Various methods of treating rhinophyma are described.<b>Discussion:</b> The diagnosis of rosacea is based on medical history and characteristic skin changes on the face, with histopathological examination being decisive in doubtful cases. The etiopathogenesis of the condition is not well understood. Risk factors may include a positive family history of rosacea, improper treatment of rosacea, smoking, and excessive alcohol consumption.<b>Conclusions:</b> The treatment of choice for rhinophyma is surgical intervention. Patients should be informed about the possibilities that modern medicine offers in the treatment of rhinophyma. This can improve both nasal patency and external appearance, significantly enhancing the patient’s psychological comfort.